Certified Occupational Therapist COTA

Cross Healthcare Services · Houston, TX Full Time

Job Description

Cross Healthcare Services - This position is for a skilled nursing facility and has both short-term and long-term patients. Golfcrest Nursing and Rehabilitation is under new ownership and has an in-house therapy team with smaller daily case loads, all new equipment, and an emphasis on optimizing time with patients. We are dedicated to creating a family-like atmosphere for our residents, and our employees look forward to coming to work and delivering the highest quality of healthcare services possible. Occupational Therapy Assistant Job Responsibilities: Helps residents by providing rehabilitative services to persons with mental, physical, psychosocial, and/or developmental impairments under the direction/supervision of a licensed occupational therapist. Maintains expected productivity/efficiency set by the Director of Rehab or Administrator. Monitors therapy services to make sure they are performed correctly and provides encouragement when necessary. Maintains patient occupational therapy records by recording the resident’s progress and daily notes. Maintains a safe, secure, and healthy work environment by following facility policies and procedures. Helps keep therapy equipment operating by following operating instructions, troubleshooting breakdowns, maintaining supplies, performing preventive maintenance, and calling for repairs. Serves and protects occupational therapy practice by adhering to professional standards, policies, and procedures, federal, state, and local requirements. Enhances occupational therapy practice reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments. Schedule: Full-time Education, Experience, and Licensing Requirements: Current Texas licensure as an OTA is required New grads welcome to apply! How to apply: Please submit your resume. Salary: From $35.00 per hour Benefits: Health Insurance Dental Insurance Vision Insurance Disability Insurance Paid time off Flexible schedule

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $11.27/hr ($23,442/yr). The typical range is $10.92 – $13.35/hr (25th–75th percentile).

Entry Level (10th) $22,235/yr

Houston Median $23,442/yr

Experienced (90th) $31,928/yr

vs. National Median -34.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.